Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsMiami, FL$73,000–$96,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Claims Examiner Independent Living Systems LLCClaims ExaminerMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from financial loss and supports the delivery of fair and efficient claims processing.
Claims Examiner I Capital Health PlanClaims Examiner ITallahassee, FLFull timeOUR GENEROUS BENEFITSHealth coverage and dental insuranceHealth and dependent care spending accountsShort and long-term disabilityMajor disability time off (MDTO)Retirement planLife and AD&D insuranceVoluntary life and AD&D insurancePaid time off (PTO)Employee assistance programSmartDollarWHAT CAN YOU EXPECT AS OUR CLAIMS EXAMINER I?As a Claims Examiner I, you will analyze insurance claims of low to moderate difficulty to determine Capital Health Plan's liability and adjudicate claims in accordance with departmental policies and provider agreements. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities.
Commercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner II"-", FLRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
Claims Examiner I - Commercial Auto Athens AdministratorsClaims Examiner I - Commercial AutoLake Mary, FloridaAdditional duties may be assigned: Knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated analytical, decision making and negotiation skills. Athens Position Details Position Title: Claims Examiner I – Commercial Auto Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state except California Job Grade: 9 Career Ladder: Next step in progression could include Claims Examiner II ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Liability & Property Insurance Claims Examiner TempExpertsLiability & Property Insurance Claims ExaminerPinellas Park, FLThe strongest candidates will have significant liability claims experience , including bodily injury, premises liability, coverage analysis, liability determination, reserves, negotiation, and attorney-represented or litigated claims. Negotiate settlements with claimants, attorneys, contractors, vendors, and other parties within appropriate authority levels.
Claims Examiner Markel Group IncClaims ExaminerTampa, FL$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Examiner - Workers'''' Compensation (Florida) ICW GroupClaims Examiner - Workers'''' Compensation (Florida)Orlando, FL$61,979.26–$97,736.56 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.
Representative, Incontestable Claims Examiner New York Life Insurance CoRepresentative, Incontestable Claims ExaminerFL$40,000–$52,500 / yearIn this role, you will support the claims process by reviewing and organizing incoming documentation, verifying claim details in internal systems, and communicating with beneficiaries to request any missing or incomplete forms. Our diverse business portfolio creates opportunities to make a difference across industries and communities-inviting bold thinking, collaborative problem-solving, and purpose-driven innovation.
Claims Examiner Heritage Insurance Holdings IncClaims ExaminerTampa, FLThe ideal candidate will proactively manage claims through timely contact, thorough investigation, coverage analysis, damage evaluation, reserving, negotiation, and disposition while maintaining exceptional file quality and customer satisfaction. The Claims Examiner/Desk Adjuster investigates, evaluates, reserves, negotiates, and settles assigned homeowners property claims in accordance with company Best Practices and regulatory requirements.
Medicaid Claims Examiner DOCTORS HEALTHCARE PLANS, INC.Medicaid Claims ExaminerCoral Gables, FLPosition Purpose: The Medicaid Claims Examiner is responsible for reviewing, analyzing, processing, and adjudicating Medicaid claims to ensure compliance with federal and state regulations, provider contracts, and health plan policies. Collaborating with provider relations and other departments, as necessary for timely encounter resubmission to the Agency for Healthcare Administration.
Casualty Claims Examiner AssuranceAmerica CorporationCasualty Claims ExaminerTampa, FLThe Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate.
Personal Injury Claims Examiner GEICO GENERAL INSURANCE COMPANYPersonal Injury Claims ExaminerTampa, FL$47,150–$72,775 / yearCustomer Interaction: Consult with involved parties (customers, other carriers, attorneys, medical providers), secure medical information, and review insurance contracts, associated reports, and billing documentation. You will investigate medical necessity, determine casualty, evaluate the validity of personal injury insurance claims, and monitor case files over the course of treatment.
Senior Claims Examiner GallagherSenior Claims ExaminerPensacola, FloridaRemoteFull timeBehaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. The Senior Claims Examiner will be responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possible for the client.
Senior Claims Examiner General Liability Athens AdministratorsSenior Claims Examiner General LiabilityLake Mary, FloridaAdvanced knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge 2) functional knowledge of law and insurance regulations in various jurisdictions 3) demonstrated advanced verbal and written communications skills 4) demonstrated advanced analytical, decision making and negotiation skills Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level general liability claims. ATHENS POSITION DETAILS Position Title: Senior Claims Examiner – General Liability Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all states but California Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Claims Examiner, Credit LotSolutions, Inc.Claims Examiner, CreditJacksonville, FLPart timeReview, evaluate, and adjudicate Credit Protection and Debt Cancellation claims by analyzing submitted documentation and determining the appropriate claim outcome (approve, pend, or deny) in accordance with policy provisions, exclusions, and eligibility requirements. Provide cross-functional support as needed, serving as a backup resource to other departments across customer service, claim adjudication, and administrative functions to ensure continuity of operations and service levels.
Claims Examiner, Credit The Fortegra Group IncClaims Examiner, CreditJacksonville, FLPrimary Job Functions: Review, evaluate, and adjudicate Credit Protection and Debt Cancellation claims by analyzing submitted documentation and determining the appropriate claim outcome (approve, pend, or deny) in accordance with policy provisions, exclusions, and eligibility requirements. Provide cross-functional support as needed, serving as a backup resource to other departments across customer service, claim adjudication, and administrative functions to ensure continuity of operations and service levels.
Claims Examiner - Liability Iconma LLCClaims Examiner - LiabilityFLResponsibilities: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Casualty Claims Examiner TWAY Trustway ServicesCasualty Claims ExaminerTampa, FloridaThe Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryFL$70,000–$80,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.